Results

Total Results: 811 records

Showing results for "phase".

121. Pharmacist-led educational interventions provided to healthcare providers to reduce medication errors: a systematic review and meta-analysis. | PSNet
     psnet.ahrq.gov/issue/pharmacist-led-educational-interventions-provided-healthcare-providers-reduce-medication
     October 14, 2020 - The phase, educational strategy , patient population, and audience varied across studies; however most

122. What I wish I’d known: how experienced physician managers diagnose, treat and prevent disruptive behaviour. | PSNet
     psnet.ahrq.gov/issue/what-i-wish-id-known-how-experienced-physician-managers-diagnose-treat-and-prevent-disruptive
     September 23, 2020 - The authors stress maintaining curiosity during the “diagnostic” phase, careful consideration of “treatment

123. Implementation of a health information technology safety classification system in the Veterans Health Administration's Informatics Patient Safety Office. | PSNet
     psnet.ahrq.gov/issue/implementation-health-information-technology-safety-classification-system-veterans-health
     August 04, 2021 - After the retrospective phase, classification of reports was integrated into weekly meetings.

124. Patterns in medication incidents: a 10-yr experience of a cross-national anaesthesia incident reporting system. | PSNet
     psnet.ahrq.gov/issue/patterns-medication-incidents-10-yr-experience-cross-national-anaesthesia-incident-reporting
     January 15, 2025 - Of the 1970 MRE identified, the highest number (42%) occurred during the administration phase, and a

125. Reducing continuous intravenous medication errors in an intensive care unit. | PSNet
     psnet.ahrq.gov/issue/reducing-continuous-intravenous-medication-errors-intensive-care-unit
     September 27, 2016 - This commentary describes the results of a two-phase initiative intended to reduce errors related to 

126. Seeing through Google Glass: using an innovative technology to improve medication safety behaviors in undergraduate nursing students. | PSNet
     psnet.ahrq.gov/issue/seeing-through-google-glass-using-innovative-technology-improve-medication-safety-behaviors
     September 15, 2021 - 2014 Characteristics of medication errors made by students during the administration phase

127. Exploration of an automated approach for receiving patient feedback after outpatient acute care visits. | PSNet
     psnet.ahrq.gov/issue/exploration-automated-approach-receiving-patient-feedback-after-outpatient-acute-care-visits
     September 07, 2011 - Study Exploration of an automated approach for receiving patient feedback after outpatient acute care visits. Citation Text: Berner ES, Ray MN, Panjamapirom A, et al. Exploration of an automated approach for receiving patient feedback after outpatient acute care visits. J Gen Intern Med.…

128. Verification Screen That Includes Prominent Patient Photograph Significantly Reduces Errors Caused by Orders Placed in Wrong Chart | PSNet
     psnet.ahrq.gov/innovation/verification-screen-includes-prominent-patient-photograph-significantly-reduces-errors
     October 30, 2024 - During the upfront planning phase, roughly 8 to 10 staff participated in the core patient identification … During the upfront planning phase, roughly 8 to 10 staff participated in the core patient identification

129. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36357/psn-pdf
     December 19, 2009 - Error reporting in organizations. December 19, 2009 Zhao B; Olivera F. Acad Manag Rev. 2006;31(4):1012-1030. https://psnet.ahrq.gov/issue/error-reporting-organizations The authors provide a framework for individual error reporting behavior that follows three phases: error detection, situation assessment, and choic…

130. The Hidden Danger of Unseen Intravenous Catheters | PSNet
     psnet.ahrq.gov/web-mm/hidden-danger-unseen-intravenous-catheters
     October 04, 2023 - During the first phase, team members are asked whether there is a risk of blood loss greater than 500 … During the second communication phase, the surgeon is asked to confirm the anticipated blood loss and … all checklist points are thoroughly discussed, and concerns addressed, before proceeding to the next phase

131. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45533/psn-pdf
     November 02, 2016 - The next phase involved giving health systems financial incentives to report their data on harm-free

132. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39116/psn-pdf
     April 30, 2014 - embolism and drug reactions or overdose, with the errors occurring most frequently in the testing phase

133. Analysis of a medication safety intervention in the pediatric emergency department. | PSNet
     psnet.ahrq.gov/issue/analysis-medication-safety-intervention-pediatric-emergency-department
     August 02, 2012 - error was reduced after the intervention and, while the risk increased slightly during the sustainment phase

134. An evaluation of information transfer through the continuum of surgical care: a feasibility study. | PSNet
     psnet.ahrq.gov/issue/evaluation-information-transfer-through-continuum-surgical-care-feasibility-study
     December 21, 2014 - the preoperative, intraoperative, and postoperative periods, and found significant problems in each phase

135. Towards a new paradigm in laboratory medicine: the five rights. | PSNet
     psnet.ahrq.gov/issue/towards-new-paradigm-laboratory-medicine-five-rights
     November 18, 2016 - This commentary discusses the need to integrate key elements that enhance quality in each phase of the

136. A tool for the concise analysis of patient safety incidents. | PSNet
     psnet.ahrq.gov/issue/tool-concise-analysis-patient-safety-incidents
     August 09, 2018 - be comprehensible and usable, and most reported that they would continue to use it beyond the pilot phase

137. Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription and administration process. | PSNet
     psnet.ahrq.gov/issue/using-failure-mode-effect-and-criticality-analysis-improve-safety-cancer-treatment
     October 21, 2020 - Each phase of the cancer treatment process had at least one critical step identified, and actions were

138. COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought. | PSNet
     psnet.ahrq.gov/issue/covid-19-crisis-safe-reopening-simulation-centres-and-new-normal-food-thought
     September 30, 2020 - recommendations for safely reopening simulation facilities for clinical training in the post-lockdown phase

139. Implementing computerized provider order entry with an existing clinical information system. | PSNet
     psnet.ahrq.gov/issue/implementing-computerized-provider-order-entry-existing-clinical-information-system
     October 19, 2022 - Despite these efforts, prescribing errors initially increased during the pilot phase, but, after full

140. Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement. | PSNet
     psnet.ahrq.gov/issue/health-system-redesign-cardiac-monitoring-oversight-optimize-alarm-management-safety-and
     February 15, 2023 - Through a four-phase quality improvement project, three hospitals were able to decrease alarms by 74-